Comparing Atracurium Alone and With Magnesium Sulphate Added to Local Anesthetic for Peribulbar Anesthesia in Cataract Surgery

What this Trial Is About

This research aims to evaluate the effects of adding magnesium sulfate to atracurium alongside a local anesthetic mixture on the eye and eyelid movement during cataract surgery using the peribulbar technique. The study focuses on measuring how quickly akinesia loss of movement begins and how long it lasts. Regional anesthesia, especially peribulbar block, is preferred for eye surgery because it is safe, affordable, and effective, with fewer serious complications compared to retrobulbar blocks. Participants receive one of three treatments during cataract surgery a control group with a local anesthetic mixture alone, a group receiving atracurium with the anesthetic, or a group given atracurium plus magnesium sulfate with the anesthetic. Each group undergoes a peribulbar block with detailed mixtures of bupivacaine, lidocaine, hyaluronidase, and saline, with specific doses of atracurium and magnesium sulfate where applicable. During the study, patients undergoing elective cataract surgery are monitored for the quality and success of the anesthesia block. Researchers observe the onset and duration of akinesia in the eye and eyelid. Safety and effectiveness are assessed through clinical evaluation during surgery. The total participant age range is 20 to 80 years, including both sexes and patients with ASA physical status I and II. The study duration and follow-up details are aligned with the surgical procedure timeline.

Atracurium Versus Atracurium and Magnesium Sulphate As Adjuvants to Local Anesthetic